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Individual

MARC TACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
360 WASHINGTON AVE, KINGSTON, NY 12401-3702
(845) 338-7140
(845) 338-7141
Mailing address
360 WASHINGTON AVE, KINGSTON, NY 12401-3702
(845) 338-7140
(845) 338-7141

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
191978
NY

Other

Enumeration date
06/06/2006
Last updated
07/08/2024
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